HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXCXXXcx
PERMIT APPLICATION FOR: Roof
PROPOSED IMP{ROVEMENT LOCATION
Address:'470 ANN MARIE CIR
Legal Description: LA BUONA VITA COOPERATIVE UNIT/LOT 193(OR 3338-453)
Property Tax ID#: 3426-664-0187-000-1 Lot No. 193
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION:OF WORK " f
REMOVE EXISTING ROOF
REPLACE ANY ROT
INSTALL ASTM-226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM
CONSTRUCTION=INFORMATION i
Additionalwork to be ertormed under this permit–check all appy:
❑HVAC Gas Tank _ Windows/Doors
— ❑Gas Piping g Shutters ❑
11 Electric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: 1,600 S . Ft.of First Floor:
Cost of Construction:$ 6,100 Utilities:cn Sewer 0 Septic Building Height:
OUVNER/LESSEE: ,CONTRACTOR:
Name JOHN&MARIE ROBERTS Name: JOE BAKER
Address:470 ANN MARIE CIR Company: BIG LAKE ROOFING&REPAIRS
City: PORT ST. LUCIE State:FL Address: 2699 NW 16TH BLVD
Zip Code: 34952 Fax: City: OKEECHOBEE State:FL
Phone No. Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663
Fill in fee simple Title Holder on next-page(if different E-Mail: BIGLAKEROOFING@YAHOO.COM
from the Owner listed above) State or County License: CCC046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: `Not Applicable MORTGAGE COMPANY: 'Oa Not Applicable
Name: ASMUSSEN ENGINEERING Name:
Address:600 S PARROTT AVE Address:
City: OKEECHOBEE State: FL City: State:
Zip: 34974 Phone: 663-763-8546 Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable BONDING COMPANY: xxx Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /9'�_- C��lv'(�-� P COUNTY OF 0 V -C-e 6f-e
The forgin instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �da�y of 20 1'6 by this 13 ay of 20-ic by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signatur of otary Public-State of Florida)
Personally Known '�<_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Humber Edwardson Commission No. :;'�'�'�!�(SIluather Edwardson
COMMISSION i FF125216 = = COMMISSION#FF125216
EXPIlittv may 2i, 20i
EXPIRES: May 21, 2016
Revised 07/15/2014�'�%;, „ wwAAR000TARY.00M �''�;�ufIt���`�� yyy w.AARoNNOTARY.COM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS